Register for DeeHealth EMR

All starred fields are required. You can upload your logo now so branding is ready when we set up the server.

Facility identity

Facility / organization name

Short name Shown on receipts and the login screen.

Facility code Leave blank and we will generate one.

Facility type Select type… Teaching hospital Specialist hospital General hospital Private hospital Clinic / medical centre Primary health centre (PHC) Diagnostic / laboratory centre Maternity home Other

Preferred domain / subdomain

Location

State Select state… Abia Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu FCT — Abuja Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara

LGA

Physical address

Facility contact

Phone

Email

Website

Person we should call during setup

Full name

Role / title

Phone

Email

Capacity & branding

Number of beds (optional)

Expected EMR users

Facility logo PNG or JPG, square-ish, max 2 MB. Used on login, receipts and letterheads.

Notes for the implementation team

I confirm this information is accurate and I am authorised to register this facility for DeeHealth EMR. Submit registration